The purpose of your visit will be to establish a bona fide doctor-patient relationship and to review your medical history & records. A HIPAA medical records file will be established at your initial visit.
Required information to bring with you:
PLEASE READ CAREFULLY
FAILURE TO BRING ALL OF THE FOLLOWING WILL RESULT IN THE INABILITY TO FULFILL THE STATE OF MICHIGAN REQUIREMENTS FOR YOUR CERTIFICATION.
- Picture ID, you must be a Michigan Resident
- Medical Records documenting your Qualifying Condition(s)
Payment at time of visit:
ALL NEW PATIENTS:
(please provide documentation)
Renewal and Annual Follow Up visit–$75.00 ($5.00 cash discount) or $80.00 debit/credit card
State of Michigan MMMP Application fees:
When you submit your application online at: michigan.gov/bmronline
the State of Michigan fee of 40.00 is paid with a debit/credit card or online check. If you have a CAREGIVER your application MUST be submitted by postal mail with a personal check, cashiers check or money order made out to: The State of Michigan-MMMP You can find the paper application and instructions for Patient/Caregiver here:
State of Michigan – MMMP
As a courtesy, if you bring the State fee with you in cash, we will write the check for you from our account, enclose the check with your application and mail it the same day. There will be nothing further for you to do, except wait for your card to arrive in the mail!
The $60 fee is paid once every two years to maintain your MMMP Cardholder status. Once issued, your card will be good for two years.